Author/Editor		Pahor, Dušica
Title		Die Berechnung des Ocular Trauma Score für die Prognose von offenen Augenverletzungen bei Kindern
Type		članek
Source		Spektrum Augenheilkd
Vol. and No.		Letnik 24, št. 4
Publication year		2010
Volume		str. 214-9
Language		ger
Abstract		Purpose: The aim of this study was to evaluate the prognostic value of the ocular trauma score (OTS) and the outcomes after open globe injuries in children at the Department of Ophthalmology, University Clinical Centre Maribor, from January 2000 to December 2009. Patients and methods: Our study included medical and operating records review of all patients younger than 18 years who had undergone surgical repair of an open globe injury. At the initial presentation, OTS variables as performed in the OTS study, such are initial vision, rupture, endophthalmitis, penetrating injury, retinal detachment and afferent pupillary defect, were used for calculating the OTS points and converted into the OTS categories (1 through 5). The findings were compared with the results of the OTS study. At the end, 28 children (28 eyes) with open globe injury were included in our study. Visual acuities were divided into five groups: no light perception (NLP), light perception/hand movement (LP/HM), 1/200-19/200, 20/200-20/50, >/= 20/40. Results: 14.3% (4 of 28) were female and 85.7% (24 of 28) were male. The meanage was 8.9 years, ranging from 2 to 17 years. The mean follow-up was 36.3 months (3.0 years), ranging from 2 months to 120 months. No eye was enucleated. In all eyes light perception was preserved before surgical repair and on follow-up examination. The final visual acuity in the OTS categories in our study was similar to those in the OTS study group except for LP/HM in the category 1 (p <0.001) and for 1/200-19/200 in the category 2 (p <0.001). Visual acuity 20/20 was achieved in all cases in OTS category 5 and in no case in the category 1. The prognosis is influenced by the nature of injury and the extent of initial damage and is better in eyes that required only primary repair. (Abs. trunc. at 2000 ch.)
Descriptors		EYE INJURIES CHILD PROGNOSIS